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97755 Assistive technology assess

What 97755 is

CMS fee schedule short descriptor: Assistive technology assess.

Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.

Medicare payment for 97755 (CY2026)

Work RVUPractice expense RVUMalpractice RVUTotalMedicare rate
Non-facility (office)0.620.500.011.13$37.74
Facility (hospital, ASC)0.620.500.011.13$37.74

National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.


Status: Active - payable under the Physician Fee Schedule. Global period: Global concept does not apply.

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Medically Unlikely Edit (MUE)

Medicare caps 97755 at 8 units per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Clinical: Data. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with 97755? These codes are bundled into it

97755 is a Column 1 code in 17 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.

Column 2 codeShort descriptionModifier indicator
36591Draw blood off venous device0 - no modifier bypassCheck pair
36592Collect blood from picc0 - no modifier bypassCheck pair
96523Irrig drug delivery device0 - no modifier bypassCheck pair
97035App mdlty 1+ultrasound ea 151 - modifier may bypassCheck pair
97110Therapeutic exercises1 - modifier may bypassCheck pair
97112Neuromuscular reeducation1 - modifier may bypassCheck pair
97140Manual therapy 1/> regions1 - modifier may bypassCheck pair
97530Therapeutic activities1 - modifier may bypassCheck pair
97533Sensory integration1 - modifier may bypassCheck pair
97535Self care mngment training1 - modifier may bypassCheck pair
97537Community/work reintegration1 - modifier may bypassCheck pair
97542Wheelchair mngment training1 - modifier may bypassCheck pair
97545Work hardening1 - modifier may bypassCheck pair
97750Physical performance test0 - no modifier bypassCheck pair
97760Orthotic mgmt&traing 1st enc1 - modifier may bypassCheck pair
97761Prosthetic traing 1st enc1 - modifier may bypassCheck pair
97763Orthc/prostc mgmt sbsq enc1 - modifier may bypassCheck pair

97755 is bundled into these codes

97755 appears as a Column 2 code in 19 active edits. Reported with one of these Column 1 codes on the same date of service, 97755 is the code that denies.

Column 1 codeShort descriptionModifier indicator
0728TDx alys vstblr implt uni 1st0Check pair
0729TDx alys vstblr implt uni sbq0Check pair
92597Oral speech device eval0Check pair
92601Cochlear implt f/up exam <70Check pair
92602Reprogram cochlear implt <70Check pair
92603Cochlear implt f/up exam 7/>0Check pair
92604Reprogram cochlear implt 7/>0Check pair
92607Ex for speech device rx 1hr0Check pair
92608Ex for speech device rx addl0Check pair
92609Use of speech device service0Check pair
92640Aud brainstem implt programg1Check pair
97161Pt eval low complex 20 min0Check pair
97162Pt eval mod complex 30 min0Check pair
97163Pt eval high complex 45 min0Check pair
97164Pt re-eval est plan care0Check pair

Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.